Blood glucose
by glucose monitoring devices cleared by the FDA for home use

Various

Monitoring of blood glucose levels

83026

Hemoglobin by copper sulfate — non-automated

Various

Monitors hemoglobin level in blood

80101QW (This
test may not be covered in all instances. Contact your Medicare carrier
for claims instructions.)

Accu-Stat for Drugs of Abuse Home Test
for Marijuana (THC)

Accu-Stat Diagnostics, Inc.

Screening test for the
presence/detection of cannabinoids (THC) in urine

ADC CLIA Waived Marijuana (THC) Test

Advantage Diagnostics

Phamatech At Home Drug Test (Model 9078)

Phamatech

Phamatech At Home Drug Test (Model
9078T)

Phamatech

Worldwide Medical Corporation, First
Check Home Drug Test (THC)

Worldwide Medical Corporation

80101QW (This
test may not be covered in all instances. Contact your Medicare carrier
for claims instructions.)

Phamatech At Home Drug Test (Model
9068)

Phamatech

Screening test for the
presence/detection of methamphetamines in urine

Phamatech QuickScreen One Step
Methamphetamine Test

Phamatech

80101QW (This test may not
be covered in all instances. Contact your Medicare carrier for claims
instructions.)

DynaGen NicCheck I Test Strips

Dynagen, Inc.

Detects nicotine and/or its metabolites in urine, which is
used as an aid in indicating the smoking status of an individual and as an aid in the
identification of a smoker as a low or high nicotine consumer

80101QW (This test may not
be covered in all instances. Contact your Medicare carrier for claims
instructions.)

Phamatech At Home Drug Test (Model 9083)

Phamatech

Screening test for the
presence/detection of opitaes in urine

Phamatech QuickScreen One Step
Opiate Screening Test

Phamatech

80101QW (This test may not
be covered in all instances. Contact your Medicare carrier for claims
instructions.)

Phamatech At Home Drug
Test (Model 9133)

Phamatech

Screening test for the
presence/detection of phencyclidine in urine

Phamatech QuickScreen One Step
PCP Screening Test

Phamatech

80101QW (This test may not
be covered in all instances. Contact your Medicare carrier for claims
instructions.)

Accu-Stat Drugs of Abuse Home Test for
Marijuana (THC) and Cocaine (COC)

Accu-Stat Diagnostics, Inc.

Screening test for the
presence/detection of cannabinoids (THC) and Cocaine metabolites in urine

Screening test for the
presence/detection of cannabinoids (THC), Cocaine metabolites, opiates,
and methamphetamines in urine

81002
82570QW

Bayer Multistick Pro 7G Reagent Strips

Bayer Diagnostics

Screening of urine to monitor/diagnose various
diseases/conditions, such as diabetes, the state of the kidney or
urinary tract, and urinary tract infections and semi-quantitative measurement of creatinine in urine
for the detection of patients at risk for developing kidney damage

Bayer Multistick Pro 10LS Reagent Strips

Bayer Diagnostics

Bayer Multistick Pro 11 Reagent Strips

Bayer Diagnostics

83721QW

PTS (for
OTC use) - for blood LDL Cholesterol

PTS Diagnostics

Direct measurement of LDL Cholesterol

82055QW (This
test may not be covered in all instances. Contact your Medicare carrier
for claims instructions.)

OraSure Technologies Q.E.D. A-150 Saliva
Alcohol Test

OraSure Technologies, Inc.

Quantitative determination
of Alcohol (ethanol) in saliva

OraSure Technologies Q.E.D. A-350 Saliva
Alcohol Test

OraSure Technologies, Inc.

STC Diagnostics Q.E.D. 150 Saliva
Alcohol Test

STC Technologies

STC Diagnostics Q.E.D. 350 Saliva
Alcohol Test

STC Technologies

82273QW

Aerscher Hemaprompt FG

Aerscher Diagnostics

Rapid screening test to
detect the presence of gastric occult blood

SmithKline Gastroccult

SmithKline

82273QW, 83986QW

Beckman Coulter Primary Care Diagnostics Gastrocult

Beckman Coulter, Inc.

Rapid screening to detect the presence of gastric occult blood and
determine the pH of gastric aspirates

82274QW, G0328QW

Beckman Coutler Hemoccult ICT

Beckman Coulter, Inc.

Detection of blood in feces from whatever cause, benign or malignant
(colorectal cancer screening) by immunoassay